Thank you for all your help.
HI,
To determine the diagnosis, direct clinical examination is important. However, this could be keratosis pilaris, which is a very common condition in which there are numerous rough follicular spots on the outer aspect of the upper arms, thighs and cheeks, and less often on the forearms and upper back. It tends to be more severe during the winter or when humidity is low. It is genetic in origin but the precise cause has not yet been determined. Moisturizing regularly is important. If it persists, have this evaluated further by your doctor for proper managemnt. Topical retinoids or pulse dye laser treatment may be indicated. Take care and regards.